Individual
MR. ROBERT BLAKE CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 MEDICAL CENTER DR, SUITE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Mailing address
225 MEDICAL CENTER DR, SUITE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000161355
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3008420
KY
Other
Enumeration date
04/18/2013
Last updated
08/27/2014
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